| NPI | 1659424588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN NESTOR Physician 910-276-7727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 32548) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NC 32548) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2008-06-16 |